Carrasco, Lena Jean

Carrasco, Lena Jean is an individual health care provider with primary practice located at 914 N Canal St , Carlsbad NM 88220-5110. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Carrasco, Lena Jean can be contacted via phone (505) 885-4836.

Contact Information

Primary practice address
914 N Canal St Carlsbad NM 88220-5110
Phone: (505) 885-4836
Fax: (505) 887-9579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R18718 New Mexico

Profile Details

NPI number 1649251190
LBN Legal business name Carrasco, Lena Jean
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649251190 NPPES
New Mexico MEDICAID 42452732

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